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y . <br /> r HEATING SYSTEM . - <br /> �ri 1 <br /> Q� (\J <br /> Y1 Y. f <br /> Moe <br /> 'yj dl , ,- , s - <br /> r ?i Flue Size <br /> K <br /> NYa <br /> (�5 I Yt Blu <br /> s t <br /> COOLING SYSTEMS <br /> Quantity / <br /> Make. ° <br /> Model �e <br /> Ton$. <br /> H.Power <br /> FIREPLACES <br /> ❑ _ Gas Factory Fireplace <br /> El Wood Burning Fireplace <br /> ❑ Wood Stove <br /> ❑ Wood Stove With Flue <br /> Brand Name: Model No.. <br /> VENTILATION <br /> ❑ No. Kitchen Exhaust duct recirculating cfm <br /> El No.No. Bath Exhaust(must have duct outside) cim <br /> ❑ No. Other Fans: Locations cfrn <br /> FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHALL) <br /> ❑ Installation ❑ Removal <br /> Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside. <br /> LP Gas: gallons <br /> Other. <br /> GAS LINE ONLY <br /> ❑ Outdoor Grill ❑ Other/List What&Where: <br /> 2 <br />